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Red blue lesion

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Oral Pathology I
Third Year

Published in: Health & Medicine
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Red blue lesion

  1. 1. Red blue lesion
  2. 2. Intravascular Congenital Reactive Neoplasm Metabolic immunologic • • • • •
  3. 3. congenital: hemangioma Benign tumours of infancy :Characterized by Growth phase with endothelial cell proliferation of large (cavernous) or small (capillary) vascular channels Undergo gradual involvement by puberty Diagnosed at first 8 weeks of life female vs. 1 male 3 • • • • • •
  4. 4. .Cont Site : most common in head and neck Shape : pale macula with thread like telangieclasis Superficial skin lesion appear raised and bosselated Firm and rubbery to palpation • • • •
  5. 5. Congenital : vascular Structural anomaly of blood vessel without • endothelial proliferation Present at birth and persist throughout life • and grow with individual
  6. 6. .Cont :Capillary form • Part wine spot are common • Later in life lesion darken & becomes • nodular due to ectasia
  7. 7. .Cont :Venous form Blue in colour Compressible Swelling associated with increase venous pressure • • • •
  8. 8. .Cont :Anteriovenous form Persistent direct arterial & venous :communication Palpable thrill Overlying skin is hot to touch pain, bleeding and skin ulceration • • • • •
  9. 9. Neoplasms: kaposi’s sarcoma :Etiopathogenesis Human harpesvirus 8 Kaposi’s sarcoma herpesvirus Aids associated • • • •
  10. 10. .Cont : Clinical features Classic form ( indolent form & poor (prognosis Older male Multifocal reddish brown nodules Affect skin and lower extremities • • • • •
  11. 11. cont :Endomic form • Common in black population • Immunodeficiency form ( rapid aggressive & • (poor prognosis : Multifocal skin lesion not limited to extremities Oral and lymph node lesion are common Involve visceral organs Younger age group
  12. 12. .cont :Histopathology features Hypercellular foci Defined vascular channels Extarvasated RBCs Later may superficially resemble pyogenic granulomas • • • • •
  13. 13. Metabolic vitamin b complex deficiencies :Etiopathogenesis Decreased intake of vitamin b :Clinical feature Oral changes pain, burning sensation ,lip fissuring …est Keratitis of the eye Scaly dermatitis on nasolabial area • • • • • •
  14. 14. Vitamin b12 deficiency ((pernicious anaemia :Clinical feature Adult Weakness .pallor, shortness of breath and fatigue Headache, dizziness Nausea , diarrhoea& stomalitis :Oral manifestation Glossitis due to atrophy of the papillae • • • • • • •
  15. 15. Plummer vinson syndrome ((iron deficiency :Clinical feature • Weakness , pallor, shortness breath • ,brittle nails & hair atrophy of upper GIT and glossitis
  16. 16. Burning mouth syndrome :Etiologic Micro organisms fungi, bacteria Xerostomia Bit. B . Iron& zink definicicy • • • •

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